Search Results (264)

This study looks at the effect of surface conditioners hydrofluoric acid (HFA), Ytterbium fibre laser (YFL), and Hydroxyapatite nanoparticles (HANPs) on the surface roughness (Ra) and shear bond strength (SBS) of different viscosity resin cements to lithium disilicate glass ceramic (LDC). A total of 78 IPS Emax discs were prepared and categorized into groups based on conditioning methods. Group 1 HFA–Silane (S), Group 2: YFL-S, and Group 3: HANPs-S. A scanning electron microscope (n = 1) and profilometer (n = 5) were used on each conditioned group for the assessment of surface topography and Ra. A total of 20 LDC discs for each conditioned group were subsequently categorized into two subgroups based on the application of high- and low-viscosity dual-cured resin cement. SBS and failure mode were assessed. ANOVA and post hoc Tukey tests were employed to identify significant differences in Ra and SBS among different groups. LDC conditioned with HFA-S, HANPs-S, and YFL-S demonstrated comparable Ra scores (p > 0.05). Also, irrespective of the type of conditioning regime, the use of low-viscosity cement improves bond values when bonded to the LDC. LDC treated with YFL-S and HANPs-S can serve as an effective substitute for HFA-S in enhancing the Ra and surface characteristics of LDC. The low-viscosity resin cement demonstrated superior performance by achieving greater bond strength. Full article

Hydroxyapatite (HAP) is the most widely accepted biomaterial for repairing bone tissue defects, demonstrating excellent biocompatibility and bioactivity that promote new bone formation. Zirconia (ZrO₂), known for its strength and fracture toughness, is commonly used to reinforce ceramics. In this study, magnesium oxide (MgO) served as a stabilizer for zirconia, resulting in magnesia partially stabilized zirconia (Mg-PSZ). Both Mg-PSZ and HAP were synthesized via coprecipitation and mixed in specific ratios to create composites through a ceramic method involving mixing, compaction, and sintering at 1100 °C. The samples were characterized using techniques such as X-ray powder diffraction (XRPD), Fourier-transform infrared spectroscopy (FTIR), and scanning electron microscopy/energy-dispersive X-ray spectroscopy (SEM/EDS). Structural analyses confirmed the presence of both monoclinic and tetragonal zirconia phases. Besides, the increased wt.% HAP in the composites produced distinct peaks for hexagonal HAP. Crystallite sizes ranged from 27.45 nm to 31.5 nm, and surface morphology was homogeneous with small pores. Elements such as calcium, phosphorus, magnesium, zirconium, and oxygen were detected in all samples. This research also examined microhardness changes in the materials. The findings revealed enhancement in microhardness for the biocomposite with higher zirconia content, 90Mg-PSZ/10HAP sample, with the smallest average pore size, highlighting its potential for biomedical applications. Full article

A novel bioactive glass–ceramic was developed using biogenic hydroxyapatite (BHA) synthesized from Rapana venosa (Black Sea) shells and monocalcium phosphate monohydrate [Ca(H₂PO₄)₂·H₂O] via solid-state synthesis. The prepared batches were obtained by combining BHA with SiO₂, B₂O₃, and Na₂O, melted at 1200 °C and melt-quenched in water to form glass–ceramic materials. Dense biogenic hydroxyapatite-based ceramics were successfully sintered at 1200 °C (2 h hold) using a 25 mass % sintering additive composed of 35 mass % B₂O₃, 45 mass % SiO₂, 10 mass % Al₂O₃, and 10 mass % Na₂O. Structural characterization was carried out using X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), and scanning electron microscopy (SEM). The resulting materials consisted of a well-defined crystalline hydroxyapatite phase [Ca₁₀(PO₄)₆(OH)₂] alongside an amorphous phase. In samples with increased SiO₂ and reduced B₂O₃ content (composition 3), a finely dispersed Na₃Ca₆(PO₄)₅ crystalline phase appeared, with a reduced presence of hydroxyapatite. Bioactivity was assessed in simulated body fluid (SBF) after 10 and 20 days of immersion, confirming the material’s ability to support apatite layer formation. The main structural units SiO₄, PO₄, and BO₃ are interconnected through Si–O–Si, B–O–B, P–O–P, and mixed Si–O–Al linkages, contributing to both structural stability and bioactivity. Full article

Background/Objectives: Guided bone regeneration (GBR) is a regenerative technique used to treat maxillary osseous defects to enable implant placement for prosthetic rehabilitation. It is generally performed with the use of barrier membranes and bone substitute materials of human or animal origin. Here, we report the clinical and histological outcomes of a horizontal GBR, treated using only synthetic biomaterials. Methods: A graft of nanocrystalline hydroxyapatite (NH) embedded in a silica gel matrix was used to fill a horizontal bone defect. The graft was covered with a titanium-reinforced dense polytetrafluoroethylene (TR-dPTFE) membrane, and primary closure was completed and maintained for 10 months. Then, the site was re-opened for membrane removal and implant insertion. During implant bed preparation, a bone biopsy was obtained for histological evaluation. A metal–ceramic crown was fitted, and the 5-year follow-up after prosthetic loading showed clinical and radiographically healthy tissues. Results: Histological examination revealed good integration of the biomaterial into the surrounding tissues, which were composed of lamellar bone trabeculae and connective tissue. New bone formation occurred not only around the NH granules but even inside the porous amorphous particles. Conclusions: The combination of NH and the TR-dPTFE membrane produced good clinical and histological results, which remained stable for 5 years. Full article

Nanoscale amorphous calcium phosphate (ACP) exhibits superior bioactivity, degradability, and osteoblast adhesion compared to hydroxyapatite (HAp), making it a promising bioactive ceramic material for bone regeneration applications. This study explores the integration of ACP as a bioactive additive in polylactic acid/polycaprolactone (PLA/PCL) composites. Nanoscale ACP powder was synthesized through low-temperature wet chemical methods without additional reagents. The composite, consisting of 10 wt.% ACP, 80 wt.% PLA, and 20 wt.% PCL, achieved optimal tensile strength (>12 MPa) and elongation (>0.1%). Utilizing the Taguchi experimental design, the microinjection molding parameters were optimized, and they are a material temperature of 190 °C, an injection speed of 50 mm/s, and a holding pressure speed of 30 mm/s. Variance analysis identified the injection speed to be the most significant factor, contributing 50.73% to the overall effect. Immersing ACP in simulated body fluid (SBF) for six hours reduced its calcium ion concentration by 28%, with this concentration stabilizing thereafter. Biocompatibility was confirmed through an MTT assay with NIH-3T3 cells, demonstrating the PLA/PCL/ACP composite’s compatibility. Bone differentiation and mineralization tests showed the enhanced performance of both ACP and the composite material. Degradation tests indicated an initial 0.29% weight increase in the first week, followed by a 2% reduction by the fifth week. These results underscore the PLA/PCL/ACP composite’s excellent mechanical properties, biocompatibility, and suitability for injection molding, positioning it as a strong candidate for biodegradable bone screw applications. Full article

Background: Diabetic foot osteomyelitis is a complex condition to manage, with substantial risk of treatment failure, which could necessitate major amputations. Surgical debridement and prolonged systemic antibiotic therapy have been the mainstay of treatment, but recurrence rates remain high. The use of adjuvant local antibiotic therapy has been proposed as a potential adjunct to improve outcomes. Methods: This retrospective study involved 113 patients with diabetic foot osteomyelitis, who underwent debridement and application of antibiotic-loaded hydroxyapatite ceramic from the year 2018 to 2023. Clinical outcomes of interest were eradication of infection, ulcer healing, recurrence of infection, prevention of major amputation and mortality rate. Patient-associated factors were identified and analysed. Results: Eradication of infection was achieved in 96%, healing of ulcer in 93% and limb salvage in 95% of patients. The mortality rate at 1 year was 5.4%. Peripheral arterial disease, HbA1c and CRP levels were statistically significant in affecting treatment outcomes. Other factors had no impact on the treatment success. Conclusions: This is the largest single-centre study involving Cerament G and V in the management of diabetic foot osteomyelitis and the first investigating the specific factors associated with outcome goals. The use of these antibiotic-loaded carriers demonstrated excellent eradication of infection, healing of ulcer and limb salvage and prevention of recurrence of infection. Full article

The present work investigates the rheological behavior of ceramic slurries made of hydroxyapatite powders doped with magnesium and strontium ions and selected as particularly relevant for biomedical applications. The incorporation of doping ions into the apatite crystal structure is a well-known way to enhance the bioactivity of hydroxyapatite through compositional and structural changes, however, this also affects the rheological properties relevant to the fabrication of ceramic devices by forming techniques based on the manipulation of aqueous slurries. We analyzed the effect of different apatitic chemical compositions, powder content, and dispersant amount on the shear behavior and flowability of slurries, thus finding that the structural changes in hydroxyapatite induced by ion doping significantly affected the colloidal stability of the apatite powders and the viscoelasticity of the slurries. This leads to improved rheological behavior in the hydroxyapatite suspensions, which is suitable for the future development of ceramic slurries, particularly for achieving novel ceramic devices by extrusion-based techniques. Full article

Minimizing the risk of secondary caries in dentistry is achieved by using adhesive systems that provide a strong bond between the natural hard tissue and the restorative material. Evaluating the effectiveness of these systems requires studying both their interaction with dentin and enamel and their behavior in environments with varying acidity. In this work, the interaction of a reactive monomer, 4-methacryloxyethyl trimellitic anhydride (4-META), used in adhesive systems with both dentin-like hydroxyapatite (HA) and hydroxyapatite ceramics, was investigated. Kinetic studies showed that under experimental conditions, 4-META was hydrolyzed and amorphized. Dentin-like HA possessed greater adsorption capacity to 4-META than ceramic HA. Immersion of HA into a solution of 4-META led to formation of an acidic calcium phosphate phase over time in both systems. Studies on the solubility of the synthetic nanosized hydroxyapatite and its derivative with 4-META in 0.1 mol/L lactic acid, also containing CaCl₂, Na₂HPO₄, and NaF (pH 4.5), and in distilled water (pH 6.3) indicated the occurrence of dissolution, complexation, and crystallization processes, causing changes in the liquid and solid phases. The total Ca²⁺ concentration upon dissolution of hybrid HA-4-META in a lactic acid solution was three times lower than the total Ca²⁺ concentration upon dissolution of pure HA. This suggested that 4-META-treated dentin-like surfaces demonstrate greater resistance to dissolution in acidic environments compared to untreated surfaces, highlighting the potential for these hybrids in dental applications. Full article

Bacterial resistance and the demand for novel antibacterial strategies represent major challenges in contemporary medicine. In this study, zinc-doped hydroxyapatite (Zn-HA) samples with 3, 5, and 10 wt% Zn(II) were synthesized using wet precipitation synthesis and sintered at 700 and 800 °C. The samples were characterized by X-ray Diffraction, Fourier Transform Infrared Spectroscopy, Raman Spectroscopy, and Scanning Electron Microscopy. The antimicrobial properties of the Zn-HA were tested against four bacterial strains—Staphylococcus aureus, Enterococcus faecalis, Salmonella typhimurium, Escherichia coli—and the fungus Candida albicans. Both 5 wt% and 10 wt% Zn-HA effectively inhibited the growth of all microorganisms. Notably, 10wt% Zn-HA exhibited the best results, with inhibition rates of 50.2% against S. aureus, 36.5% against E. faecalis, 47.5% against P. aeruginosa, 31.8% against E. coli, and 24.7% against C. albicans. There were no significant differences in the growth of adipose mesenchymal stem cells between the prepared samples and the control. For osteogenic differentiation, dye uptake was 1.2 times higher for HA and 5 wt% Zn-HA, and 1.3 times higher for 3 wt% Zn-HA compared to the control. These results suggest that developed ceramics may be effective in regenerative medicine, paving the way for innovative treatments. Full article

Biomaterials have assumed a decisive role in modern medicine by enabling significant advancements in medical care practices. These materials are designed to interact with biological systems, offering substantial solutions for various medical needs. In this research, bioceramic materials consisting of a bioactive hydroxyapatite-based matrix with Ti nanoparticles were processed as promising materials. These bioceramics were obtained using mechanical milling, uniaxial pressing, and sintering as powder processing techniques. This study evaluates the effect of Ti additions on the structural, electrochemical, and mechanical properties of the hydroxyapatite ceramic material. Titanium additions were about 1, 2 and 3 wt%. The experimental results demonstrate that the biocomposite’s structure has two hexagonal phases: one corresponding to the hydroxyapatite matrix and the other to the Ti as a reinforced phase. The biomaterials’ microstructure is completely fine and homogeneous. The biomaterial reinforced with 1 wt. % Ti exhibits the best mechanical behavior. In this context, electrochemical tests reveal that bioceramics can achieve stability through an ion adsorption mechanism when exposed to a physiological electrolyte. Bioceramics, particularly those containing 1%Ti, develop their bioactivity through the formation of a high-density hydroxide film during a porous sealing process at potentials around −782.71 mV, with an ionic charge transfer of 0.43 × 10⁻⁹ A/cm². Finally, this biofilm behaves as a capacitor Cc = 0.18 nF/cm², resulting in lower ionic charge transfer resistance (Rct = 1.526 × 106 Ω-cm²) at the interface. This mechanism promotes the material’s biocompatibility for bone integration as an implant material. Full article

Bionic bioceramic scaffolds are essential for achieving excellent implant properties and biocompatible behavior. In this study, inspired by the microstructure of natural bone, bionic hydroxyapatite (HAp) ceramic scaffolds with different structures (body-centered cubic (BCC), face-centered cubic (FCC), and gyroid Triply Periodic Minimal Surfaces (TPMSs)) and porosities (80 vol.%, 60 vol.%, and 40 vol.%) were designed, 3D-printed, and characterized. The effects of structure and porosity on the morphology, mechanical properties, and in vitro biocompatibility properties of the HAp scaffolds were studied and compared with each other. Interestingly, the HAp scaffold with a porosity of 80 vol.% and a TPMS structure had the best combination of compressive strength and in vitro biocompatibility, and demonstrated a great biomedical application potential for bone repair. We hope this study can provide a reference for the application and development of HAp scaffolds in the field of bone repair engineering. Full article

During the past decade, there has been a continued increase in the demand for bone defect repair and replacement resulting from long-term illnesses or traumatic incidents. To address these challenges, tissue engineering research has focused on biomedical applications. This field concentrated on the development of suitable materials to enhance biological functionality and bone integration. Toward this aim, it is necessary to develop a proper material that provides good osseointegration and mechanical behavior by combining biopolymers with ceramics, which increase their mechanical stability and mineralization process. Hydroxyapatite (HAp) is synthesized from natural resources owing to its unique properties; for example, it can mimic the composition of bones and teeth of humans and animals. Biopolymers, including chitosan and alginate, combined with HAp, offer good chemical stability and strength required for tissue engineering. Composite biomaterials containing hydroxyapatite could be a potential substitute for artificial synthetic bone grafts. Utilizing various polymers and fabrication methodologies would efficiently customize physicochemical properties and suitable mechanical properties in synergy with biodegradation, thus enhancing their potential in bone regeneration. This review summarizes the commonly used polymers in tissue engineering, emphasizing their advantages and limitations. This paper also highlights recent advances in the production and investigation of HAp-based polymer composites used in biomedical applications. Full article

Hydroxyapatite (HAp) is similar to the main inorganic components of bone and tooth enamel. Furthermore, it possesses biocompatibility, making it suitable for clinical use in artificial bones. This study aimed to verify whether the preferred orientation of HAp influences osteogenesis. Using the templated grain growth method, we successfully fabricated HAp ceramics with a preferred orientation to m (a)-planes (aHAp) and examined the effects of this orientation on bone differentiation. Osteosarcoma-derived osteoblasts (MG-63) were cultured on aHAp and HAp ceramics made from commercially available powder (iHAp). Electron backscatter diffraction analysis revealed the crystal orientation distribution of HAp ceramics and the numerous exposed a-planes of aHAp. The MG-63 cultured on aHAp exhibited significantly higher alkaline phosphatase activity, a marker of early bone differentiation, compared to iHAp. Furthermore, the two-dimensional electrophoresis results indicated that the expressed proteins differed between aHAp and iHAp. These results indicate that controlling HAp’s crystal structure may promote the osteogenic potential of osteoblasts. In this study, we propose that the a-plane of HAp promotes bone differentiation during the early stages, presenting a promising approach for novel biomaterials, such as high-performance artificial bones. Full article

Hydroxyapatite (HAP) displays a high degree of similarity to the inorganic components that make up roughly 70% of human hard tissue, and it possesses exceptional biological activity and biocompatibility. It is currently internationally recognized as the most biologically active hard tissue implant material. However, its substandard mechanical properties have significantly limited the application of HAP in areas requiring load bearing or in the repair of large bone defects. In this study, HAP/45S5 bioglass laminated ceramic composites were consolidated using the spark plasma sintering (SPS) technique. The grain growth and phase transformation of HAP and 45S5 bioglass were examined at various sintering temperatures. The mechanical properties of the laminated composites were investigated. At 950 °C, the flexural strength and fracture work of the sintered body were (153.22 ± 7.7) MPa and (2049 ± 34) J·m⁻², respectively. These results corresponded to the load–displacement curves and showed that the composites met the mechanical performance requirements of the support material. Full article

The process of osteointegration depends significantly on the surface roughness, structure, chemical composition, and mechanical characteristics of the coating. In this regard, an important direction in the development of medical materials is the development of new techniques of surface modification and the creation of bioactive ceramic coatings. Calcium-phosphate materials based on hydroxyapatite have been proposed as bioactive ceramic coatings on titanium implants for the effective acceleration of bone tissue healing. To obtain bioactive ceramic coatings, pulse power sources are best suited, namely detonation spraying, in which the energy of the explosion of gas mixtures is used as a source of pulse action. The pulse mode of operation in the detonation spraying method is preferable for the formation of bioactive ceramic coatings. It provides a high velocity of hydroxyapatite particles, which promotes their effective fixation on the titanium substrate, while minimizing the heating of the material. This approach preserves the substrate structure and improves the coating adhesion. Four different types of coatings with varying O₂/C₂H₂ molar ratios, ranging from 2.6 to 3.7, were obtained using detonation spraying. Powders and obtained coatings of hydroxyapatite were studied by Raman spectroscopy and XRD structural analysis. The results of XRD phase analysis showed the partial conversion of the hydroxyapatite phase to the α-tricalcium phosphate (α-TCP) phase during the detonation spraying process. The results obtained by Raman spectroscopy indicate that hydroxyapatite is the main phase in coatings. All hydroxyapatite-based coatings exhibited hydrophobic properties, which was confirmed by contact-angle values above 90° in wettability tests, characteristic of hydrophobic surfaces. The adhesive strength of the coatings was measured by the scratch test method. Tribological tests were conducted using the ball-on-disk method under both dry conditions and in Ringer’s solution. This approach enabled the evaluation of wear resistance and friction coefficient of the coatings in different environments, simulating both lubrication-free conditions and those resembling physiological environments. Full article